YCIAB: Practitioner Program Scholarship Request Form
Please complete the following application form to express interest in 50/75/100% scholarship for Your Chart is a Body: Practitioner Program & Embodied Astrology Foundations with Renee Sills.

We will be accepting applications until February 21, 2024 and then will review them to make a decision in the days following.

PLEASE NOTE: Due to limited attendance and scholarship capacity, we will not be able to provide all scholarships requested. We thank you in advance for your interest, and extend our care and apology that we do not have more resource to accommodate all requests at this time. 
Sign in to Google to save your progress. Learn more
What is your name? *
What is your email address? *
What are your pronouns?
Please tell us about your practice and background with somatics and/or other embodied healing modalities.
 *
Please tell us about your practice and background with astrology.
 *
Why is this program important for you at this time?
 *
What are some of the ways you will use this work in the world and in your life?
 *
This course has a limited capacity of participants. Due to limitation, we are unable to offer scholarship to everyone who needs it. It is our intention to support equitable access to our limited capacity programs to the best of our ability.

Please tell us a bit about your financial background and need at this time. In order to determine what information might be helpful for us, and the amount of scholarship you are requesting, please review this graph for our sliding scale.
 *
Captionless Image
How much scholarship are you requesting?
 *
Is there anything else you'd like to share with us?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms